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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494346
Report Date: 11/08/2023
Date Signed: 11/08/2023 01:56:57 PM


Document Has Been Signed on 11/08/2023 01:56 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:KELLY STATE PRESCHOOLFACILITY NUMBER:
197494346
ADMINISTRATOR:TELMA BAYONAFACILITY TYPE:
850
ADDRESS:2320 E ALONDRA BLVDTELEPHONE:
(310) 898-6008
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY:30CENSUS: 11DATE:
11/08/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Lead Teacher Samantha ChaveraTIME COMPLETED:
02:05 PM
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Licensing Program Analysts (LPAs) Jeanette Estrada and Anthony Padilla conducted an unannounced 3 year Required Annual Inspection. This is a preschool program located at Collin P. Kelly K-8 School. LPAs met with Lead Teacher Samantha Chavera, who provided a tour of the preschool classroom. LPAs provided the Facility Entrance Checklist to the Facility Representative. This is a full day preschool program consists of one classroom and serves children ages 3 years to 5 years old. The hours of operation are Monday - Friday 7:45 AM to 2:45PM. LPAs observed a total of 11 children and 3 staff. LPAs observed required posted documents in the facility. All areas used by children were inspected. The classroom was inspected for cleanliness and good repair. The floors were observed to be clean, and lighting was in operable condition. There were age-appropriate toys and equipment. Children bring their own water bottles, and they are refilled from a water dispenser at the facility if needed. Each child has their own cubby/storage area. Cleaning supplies are stored in locked cabinets inaccessible to children. LPAs observed napping cots available for children. Per Facility Representative, sheets laundered weekly. The isolation area is in a section of the classroom, separated from other children in care. Ill children may use one of the restrooms in the classroom. There are two restrooms available for children in the classroom. Each restroom has one toilet and one sink. There are two additional sinks available outside of the restrooms. All restrooms were observed to be in clean and in operable condition. The facility has a hard wired fire alarm installed throughout the classroom. LPAs observed a Fire extinguisher which indicated fully charged. LPAs toured the outdoor play area. Outdoor area was observed to have age-appropriate toys and materials for children and was observed to be free of loose, sharp, and/or pointed parts. Outdoor drinking water is provided via water bottles. LPAs observed that gate where parents enter the facility is easily accessible in the outdoor play area. LPAs advised that gate area shall be properly supervised. The facility administers prescription medication when required. Medication is stored in a locked cabinet in the classroom. Sign in sign out sheets were reviewed. Children present were signed in.The facility provides breakfast and lunch. Meals are prepared in the kitchen in the main school. LPAs inspected the food preparation area and observed it to be clean and in operable condition. LPAs observed allergy information posted in the classroom.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KELLY STATE PRESCHOOL
FACILITY NUMBER: 197494346
VISIT DATE: 11/08/2023
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Page 2__LPAs confirmed with Cafeteria Supervisor that allergy list is also available in kitchen. Children's records were reviewed and contain the required documents.Complete staff records are not kept at the facility. LPAs reviewed the following records: Staff 1 - Mandated Reporter training certificate completed 3/29/23, Teacher Permit valid 1/2023 to 2/2028, proof of immunization against pertussis and flu, and a TB clearance. Staff 2-American Red Cross issued pediatric first aid/cpr certification completed 7/15/22. Staff 3-mandated reporter completed 3/21/23. Staff Records are held at the Compton Unified School District Early Childhood Education Program office. A full review will be conducted during a separate visit.
To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative, Lead Teacher Samantha Chavera. .
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
LIC809 (FAS) - (06/04)
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